title: HIV vulnerabilities and coercive sex at same-sex sexual debut among men who have sex with men in Beijing, China.
abstract: Few studies have examined coercive sex and HIV vulnerabilities among men who have sex with men (MSM) in China. The present study seeks to compare individual characteristics between MSM who did and did not experience coercive sex at their MSM sexual debut and to identify HIV risk factors correlated with coercive sex at MSM sexual debut. In 2007, we recruited 167 MSM in Beijing, China by peer-referred social network sampling. Each participant then completed self-administered questionnaires regarding their sexual experiences and practices. Results show that 14% of participants reported coercive sex at MSM sexual debut, of whom 48% reported recent unprotected anal intercourse (UAI). Coercive sex at MSM sexual debut was significantly associated with UAI [adjusted odds ratio (AOR): 5.38, 95% confidence interval: 1.95-14.87] and lifetime number of male sex partners (AOR: 7.25, 95% CI: 2.39-22.01). Coercive sex is harming MSM in China and should be immediately addressed by researchers, public health officials, and MSM community stakeholders.
authors.affiliation: a School of Population and Public Health , University of British Columbia , Vancouver , BC , Canada.
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Pan
authors.forename: Yuhua
authors.initials: Y
authors.lastname: Ruan
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Spittal
authors.forename: Margo E
authors.initials: ME
authors.lastname: Pearce
authors.forename: Han-Zhu
authors.initials: HZ
authors.lastname: Qian
authors.forename: Dongliang
authors.initials: D
authors.lastname: Li
authors.forename: Zheng
authors.initials: Z
authors.lastname: Zhang
authors.forename: Yiming
authors.initials: Y
authors.lastname: Shao
mesh_terms: D000328:Adult; D000367:Age Factors; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology* / Q000635:transmission; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D011902:Rape / Q000523:psychology / Q000706:statistics & numerical data*; D012307:Risk Factors; D057566:Self Report; D012747:Sexual Partners; D060756:Social Networking; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D035862:Vulnerable Populations